Individual
ALEXANDER L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2658
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805PA
—
SC
Enumeration date
11/03/2016
Last updated
03/23/2021
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